Individual
KENNETH LEWAYN GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
314 S EWING RD, OWENSBORO, KY 42301-0353
(207) 683-0438
(270) 683-4905
Mailing address
314 S EWING RD, OWENSBORO, KY 42301-0353
(207) 683-0438
(270) 683-4905
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1090361
KY
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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